HomeMy WebLinkAboutF2021-0398 - Permit Application[ F not int 3 n 2n,
1 City of Newport Beach - Building Division
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Please print 3 copies W
Associated Building Permit # r Fire Sprinkler r Fire Alarm r— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
53 NEWPORT CENTER DRIVE 153
First
Tenant Name F.I. Landlord Development - Shell only - Suite 453 t ca 1K
L n D I � # Units �—
2. Description of Work
FIRE ALARM SYSTEM T.I.
Use
Valuation $ 30000.00.._
Extg Sq Ft 7 New/Added Sq Ft �— Total Sq Ft F_-
- -
F_ 4. Architect/Designer's Name
Stories I
F_ New F_ Add#
r Alter (` Demo
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last
LTA CONTRACTING 3
First
Owner's Address
Owner's E-mail Address
369 E BLAINE ST
City CORONA
State CA
Zip 92879 Telephone—
F_ 4. Architect/Designer's Name
Last FirstF Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City _
_ State 7—
ZipF Telephone—
r 5. Engineer's Name Last RENKEN
First JONATHAN Lic. No. 469046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA
Zip 90808 Telephone562-353-4680
F 6. Contractor's Name Last INTERFACE SYSTEMS First F Lic. No. 69046 Class C 00
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
kelley.santacruz@interfacesys.com
City LONG BEACH
State CA
Zip 90808 Telephone562-353-4680
OFFICE USE ONLY
TYPE OF CONSTRUCTION
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V PERMIT NO. 0
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PLAN CHECK NO.till v_I
OCCUPANCY- GROUP
PLAN CHECK FEE $